UHC certification Exam with Verified Answers Graded A+
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Course
UHC certification
Institution
UHC Certification
UHC certification Exam with Verified Answers Graded A+
1. Medicare Federal health insurance program
2. Medicare is administered
by whom?
CMS ( Centers for medicare and medicaid ser-
vices)
3. Parts A & B of medicare are federal health insurance program referred to
as original medicare
4. Pa...
UHC certification Exam with Verified Answers Graded A+
1. Medicare Federal health insurance program
2. Medicare is administered CMS ( Centers for medicare and medicaid ser-
by whom? vices)
3. Parts A & B of medicare are federal health insurance program referred to
as original medicare
4. Part A? Hospital insurance
5. Part B? Medical insurance
6. What doesnt medicare cov- routine dental, eye care hearing exam,de-
er? ductibles, coinsurance and copayments
7. Part C? Medicare Advantage Plans
8. MA covers? Part A &B coverage, and some part D cover-
age
9. MA plans are not? Medicare supplement insurance plans
10. What offers lower monthly MADP
premiums MADP or supple-
ment?
11. do MAP's have a annu- YES
al maximum OOP maxi-
mum that limits the amount
of money a member must
spend every year for cov-
ered services?
12. MA plans integrate what part D prescription drug coverage
type of additonal cover-
age?
13. If a customer wants to keep MA-only PFFS plan
their stand alone prescrip-
tion drug plan, what may
, UHC certification Exam with Verified Answers Graded A+
the customer want to enroll
in?
14. What is a stand alone drug PDP
plan called?
15. WHat is PFFS? Private Fee for Service (PFFS) - Plans that
allow you to go to any doctor or hospital that
accepts their terms
16. If a customer lives in a rur- PFFS plan
al area, what type of plan
may they want because it
gives them freedom to ac-
cess doctors that may not
be in their network?
17. Do HMO's require referals? Yes
18. Do PPO's require a referal? No
19. When a member enrolls in a MA plan
MA plan, they receive their
coverage from medicare or
the MA plan?
20. When a customer is en- Part B
rolled in a MA plan, they
must continue paying their
premiums for what other
plan?
21. MA plans have a maxium MOOP amount ( Maxium out of pocket)
annual limit on OOP costs
called a?
22. When a member is enrolled effective date
in a MA plan, they are auto-
matically disenrolled from
any other MA plan or PDP(
, UHC certification Exam with Verified Answers Graded A+
prescription drug plan) in
which they are enrolled as
of the new plans ?
23. An exception exisits for Stand alone PDP
MA-only PFFS plans as a
member can also be en-
rolled in a what?
24. If a member enrolls in a MA Cancel in writing their medicare supplement
plan, what must the mem- insurance policy with the carrier after their re-
ber do? quest to enroll in MA plan has been approved.
25. Medicare supplement in- MA plan
surance policies cannot be
used in conjunction with
what type of plan?
26. A medicare supplement in- original medicare.
surance plan helps to cov-
er some of the OOP costs
associated with?
27. A medicare supplement in- MA plan
surance plan does NOT pay
the cost-sharing of what
type of plan?
28. when a client enrolls in a NO
MA plan, will it automatical-
ly terminate their MA plan?
29. Can a customer call to ter- no it must be done in writing
minate their Med Sup plan?
30. What are the different types HMO, POS, PPO, RPPO, PFFS, SNP, and
of MA plans? MSA
31. For an HMO, they cus- Emergencies, Urgent care, and renal dialysis
tomer must us IN network services.
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